In the latest technology, NFC(Near Field Communication) is a recently growing technology for communication for short range which is aimed to augment existing near field technologies such as RFID(Radio Frequency Identification). In this paper, we have to propose a system which describes how an android application is used as our own NFC tag writer to write patient unique id in NFC tag. Doctors using NFC enabled smart phones to retrieve patient information when placed near NFC tag. This proposed system uses an android smart phone which automatically monitors the patients status and keeps the doctor/nurse updated and maintained through logs that are stored on a cloud server and also alerts are generated through /Email in case of emergency/detection of death of any patient. This system helps in reducing the paper work required during the registration of the patient and also eliminates the disadvantages of using RFID based system

1. International Journal of Computer Applications Technology and Research
Volume 4– Issue 12, 956 - 959, 2015, ISSN: 2319–8656
www.ijcat.com 956
SPHMS : Smart Patient m-Healthcare Monitoring System
with NFC and IOT
Hoda Ramin Hossein
Computer Department,
University of Pune, AISSMS,
COE
Pune, Maharashtra 411001,
India
Abstract: In the latest technology, NFC(Near Field Communication) is a recently growing technology for communication
for short range which is aimed to augment existing near field technologies such as RFID(Radio Frequency Identification). In
this paper, we have to propose a system which describes how an android application is used as our own NFC tag writer to
write patient unique id in NFC tag. Doctors using NFC enabled smart phones to retrieve patient information when placed
near NFC tag. This proposed system uses an android smart phone which automatically monitors the patients status and keeps
the doctor/nurse updated and maintained through logs that are stored on a cloud server and also alerts are generated through
/Email in case of emergency/detection of death of any patient. This system helps in reducing the paper work required during
the registration of the patient and also eliminates the disadvantages of using RFID based system.
Keywords: NFC tags, web server, NFC enabled smart phone, Android application.
1. INTRODUCTION
An important requirement now-a-days for medical service
informalization is the establishment and improvement of
doctor-patient interaction system. Especially in today’s era
where the mobile communication technology develops
rapidly, it is a challenge to make the mobile web of full use to
make up for the time and distance gap between doctors and
patients to provide fast and adequate medical services or not
becomes an important factor to measure hospital’s
competitive ability. Hospitals and clinics are increasingly
turning to modern technology to facilitate treatment and
optimize patient management
In current technology enabled world, there is rapid change and
the status-quo is constantly disrupted. Internet Of Things
(IOT) is one such field where disruption is taking place right
now and has the potential to change the way healthcare is
delivered. IOT does not have any standard definition, as per
Gartner, “IOT is a network of physical objects that contain
embedded technology to communicate and sense or interact
with their internal states or the external environment”. People
and things can be easily connected to each other at anytime,
anyplace with the help of using any path or network and any
service with the help of IOT.
There is one other technology emerging now-a-days which is
Near Field Communication (NFC). NFC is known to be a
wireless technology used for communication in a short range
of four to ten centimetres. NFC is based on RFID technology
which by using a reading device can be used to read
information from a tag. By working in three different modes
NFC provides excellent security and privacy. These modes are
Read/write mode, Peer to peer mode, Card emulation mode.
1. Card Emulation mode:
An NFC device in a card emulation mode can replace a
contactless card or a tag. This will enable NFC devices to be
used with existing contactless card infrastructure in
applications such as access control, payments and ticketing.
2. Reader/Writer mode:
An NFC enabled device is able to read and write to NFC and
many contactless cards. For example, if a NFC tag is attached
to a poster, the NFC Smartphone can "tap" the tag to access
the information stored in the tag easy and conveniently.
3.Peer to Peer mode: A Peer to peer mode enables two NFC
devices to share data between them. Here, the NFC is used to
negotiate the optimal communication protocol and transfer
authentication data for secondary protocol. Then the file or
data is sent over the high capacity protocol(i.e Bluetooth, Ei-
Fi etc).
In this paper, we have proposed a system which describes how
an android application is used as our own NFC tag writer to
write patient unique id in NFC tag. This will help in reducing
the paper work that is required during the registration when a
patient is admitted in the hospital. Doctors will be using NFC
enabled smart phones to retrieve patient information when
placed near NFC tag. This system uses a smart phone which
automatically monitors the patients status and keeps the
doctor/nurse updated and maintained through logs that are
stored on a cloud server and also alerts are generated through
SMS/Email in case of emergency/detection of death of any
patient. This system helps in reducing the paper work required
during the registration of the patient and also eliminates the
disadvantages of using RFID based system.

2. International Journal of Computer Applications Technology and Research
Volume 4– Issue 12, 956 - 959, 2015, ISSN: 2319–8656
www.ijcat.com 957
2. RELATED WORK
2.1 Literature Survey
The existing system in healthcare involves manual
intervention where there is note taking, updating the notes to
the computer and maintaining the records under a unique id
assigned to every patient. This process is usually very slow
and error prone due to which there is latency between data
gathering and information accessibility.
“PSMPA: Patient Self-controllable & Multi-level Privacy
Preserving cooperative authentication in distributed m-
healthcare cloud computing system”[1] has introduced
security in m-Healthcare by implementing a three tier
architecture and providing security on the cloud where all the
data of the patient is stored.
In recent work, ”Design and Implementation of Doctor-Patient
system based on android”[2] introduced m-health and Android
platform which was designed to achieve a set of doctor-patient
interaction system based on android. One other system A
wireless ECG monitoring system[2] was implemented which
integrated novel capacitive ECG sensors.
NFC is playing an important role, in “NFC-based hospital
Real-Time Patient management system”[8], they have used
NFC technology where NFC smart tag or wrist band is given
to each patient during the time of registration. Then NFC
encoded devices can be used to read the information from the
patient without causing any inconvenience at any time.
In other work[9], they have used an android application to
view the patients data with the help of an open source
platform. This system has helped the doctor’s in monitoring
and viewing the patient’s data through a mobile device.
2.2 Existing System
In our real time system, manual intervention is required i.e
when a patient is admitted the registration of the patient is
done manually which is more tedious and error prone job.
Also when a patient is in critical condition, no alerts are
generated which may sometimes cause loss of life. Also
doctors don’t have a provision of remote monitoring.
Before NFC, the similar device used was RFID. With using
RFID the cost was high as there was a requirement of RFID
reader. Also the architecture used was servlets technology
which was not flexible as the clients of only java technology
could be interfaced.
Taking all this drawbacks of existing system we have
introduced the concept of NFC and cloud server. By using
NFC tags, the cost of using RFID reader is cut down. And
also by using cloud server i.e web server we can interface
clients of any technology with the server.
3. PROPOSED SYSTEM
3.1 Problem Statement
“To develop an automated system using smart phone which
will automatically monitor patients status and generate alerts
and maintain logs on cloud server.”
Figure 1: Proposed System Architecture
3.2 Proposed Architecture
The proposed architecture consist of various application Viz
Admin application, doctor application, android application
and cloud server. There is a hardware device connected to the
android application through Bluetooth. The hardware device
consist of sensors connected to it. In this paper we will be
using basically 3 sensors i.e heart rate sensor, body
temperature sensor and level sensor [saline level].
1. Patient Position Sensor :
The Patient Position Sensor (Accelerometer) monitors five
different patient positions (prone, supine, standing/sitting ,left
and right.) In many cases, it is necessary to monitor the body
positions and movements made because of their relationships
to particular diseases (i.e., sleep apnea and restless legs
syndrome). The body position sensor could help also to detect
fainting or falling of elderly people or persons with disabilities
and also detect death status through a motion detector.
2. Body Temperature Sensor :
The commonly accepted average core body temperature
(taken internally) is 37.0°C (98.6°F). In healthy adults, body
temperature fluctuates about 0.5°C (0.9°F) throughout the
day, with temperatures being lower in the morning and higher
in late afternoon and evening depending on the body's needs
and activities the temperature change. Measuring body
temperature is of great medical importance.The reason is that
a by characteristic change in body temperature a number of
diseases are accompanied. Likewise, by measuring body
temperature, the course of certain diseases can be monitored,
and the efficiency of a treatment initiated can be evaluated by
the physician.
3. Heart Rate Sensor :
A normal resting heart rate for adult’s ranges from 60 to 100
beats a minute. Generally, a lower heart rate at rest implies
more efficient heart function and better cardiovascular fitness.
The Heart Rate speeds up or slows down in a number of ways
Bradycardia is defined as a resting heart rate below 60 bpm.

3. International Journal of Computer Applications Technology and Research
Volume 4– Issue 12, 956 - 959, 2015, ISSN: 2319–8656
www.ijcat.com 958
However, heart rate from 50 to 60 bpm are common among
healthy people and do not necessarily require special
attention. Tachycardia is defined as a resting heart rate above
100 bpm, though persistent rest rates between 80-100 bpm,
mainly if they are present during sleep, may be signs of
hyperthyroidism or anemia.
The number of sensors can be increased upto eight. The
hardware device consist of a number of components i.e
Bluetooth controller, microcontroller, ADC(Analog to
Digital), signal conditioner and buzzer. The sensors are
connected to the signal conditioner through which all the
values of the sensors are collected and then sent to the ADC
where the signal is converted from analog to digital and then
sent to the microcontroller which transmits the data to the
android application through a Bluetooth controller. In case of
emergency the buzzer will ring or an SMS/Email will be sent
to the doctor on the smart phone.
All the data and information related to the patient is stored on
the cloud server. We have introduced cloud server so that
clients of different platform can be interfaced which
overcomes the disadvantage of using servlets.
Patient will be monitored for unconsciousness or death status
through the phone camera. The state of the patient will be
recorded and sent after a fixed time interval and in case of any
emergency the buzzer will ring and also alerts will be sent
through SMS or Email.
NFC tags will be used with the help of an NFC enabled smart
phone by the doctor to retrieve the patient’s information. By
using NFC tags we are eliminating the paper work that had to
be done during the registration of the patient when he/she is
admitted
4. PROPOSED ARCHITECTURE
IMPLEMENTATION
When a patient is admitted in hospital for the first time a
unique id is provided to patient. NFC tag will be associated
with every patient. equipped with NFC enabled smart phones
will be equipped to Doctors and other staff. There will be an
NFC issue app which will be used to read the content from
mobile to NFC tag. Administrator can write unique tag id and
application link in NFC tag by using the NFC issue app. To
create patient application link administrator use IP of the
server and then transfer to mobile by using same IP.
Whenever NFC tag is placed near NFC enable smartphones
the patient data is retrieved directly from the server. Doctor
can also do the same thing to retrieve information of the
patient from the server.
After the patient is admitted, android phone will be associated
which will have motion detection to detect the death/
unconsciousness of the patient. Also there will be different
sensors that will monitor different parameters such as heart
beat rate, body temperature and level sensor (saline level).
after a time interval the data will be transmitted through
Bluetooth to the android phone which will further be sent to
the cloud server through WiFi and stored there. The doctor
can view the data any time and also can be viewed in
graphical form.
5. CONCLUSION
In this proposed system, we have overcome the disadvantages
of using RFID system by using NFC tags. We have also
replaced the servlets architecture by using web service
architecture. Hence the patients status is automatically
generated and stored in the cloud server and also alerts are
generated if the patient is in a critical condition. Currently it is
possible to conclude that for providing a better solution to the
m-healthcare hospital management system in many hospitals
NFC promises appear to be credible.
6. ACKNOWLEDGMENTS
I am thankful to my guide Mrs. S.S.Shaikh for her complete
support and guidance throughout the work.
7. REFERENCES
[1] J. Zhou, Xiaodong Lin, et.al. “PSMPA: Patient Self-
controllable & Multi-level Privacy Preserving
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and distributed systems, vol. 26, No. 6, June 2015, Pg.
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[2] Ran Wei, ”Zhimin Yang”, ”Design and Implementation
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4. International Journal of Computer Applications Technology and Research
Volume 4– Issue 12, 956 - 959, 2015, ISSN: 2319–8656
www.ijcat.com 959
[9] S.Challa, G.Geethakumari, CSN Prasad,”Patient Data
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